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WP0042167
Environmental Health - Public
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4300 - Water Well Program
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WP0042167
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Entry Properties
Last modified
4/14/2022 2:50:23 PM
Creation date
4/14/2022 2:10:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
WP0042167
PE
4370
STREET_NUMBER
8000
Direction
N
STREET_NAME
PODESTA
STREET_TYPE
LN
City
LINDEN
Zip
95236-
APN
09135027
ENTERED_DATE
6/18/2021 12:00:00 AM
SITE_LOCATION
8000 N PODESTA LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FGL Environmental Doc ID: 3D0900002_SOP_12-4.DOC <br />Revision Date: 10/09/14 � Page 1 of 1 <br />Inter- tory Condition Upon Receipt (Attach to COC) <br />Sample Receipt a STK CC CH VI <br />1. Number of i ages received: Shipping tracking # <br />2. Were samples received in a chilled condition? Temps: /D. D / <br />Surface water SWTR bact samples: A sample that has a temperature upon receipt of >100 C, whether iced or not, <br />should be flagged unless the time since sample collection has been less than two hours. <br />3. Do the number of bottles received agree with the COC? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc No <br />5. VOAs checked for Headspace? Yes N <br />6. Were sample custody seals intact? Yes No <br />7. If required, was sample split for pH analysis? No <br />8. Were all analyses within holding times at time of receipt? es No <br />9. Verify sample date, time and sampler name No <br />Sign and date the COC, place in a ziplock and put in e s e ice cher a samples. <br />Sample Receipt Review completed by (initials): <br />Sample Receipt at SP: <br />1. Were samples received in a chilled condition? Temps: <br />Acceptable is above freezing to 60 C. If many packages are received at one time check for tests/H.T.'s/rushes/ <br />2. Shipping tracking numbers: S5 72 Q R 2,g <br />3. Do the number of bottles received agree with the COC? No N/A <br />4. Were samples received intact? (i.e. no broken bottles, leaks etc.) �43No <br />5. Were sample custody seals intact? es No N/A <br />Sign and date the COC, obtain LIMS sample numbers, select methods/tests and print labels. <br />Sample Verification, Labeling and Distribution: <br />1. Were all requested analyses understood and acceptable? No <br />2. Did bottle labels correspond with the client's ID's? Y No <br />3. Were all bottles requiring sample preservation properly preserved? s o N/A FGL <br />[Exception: Oil & Crease, VOA and CM verified in labl <br />4. VOAs checked for Headspace? Yes No <br />5. Have rush or project due dates been checked and accepted? Ae- -SD No N/A <br />6. Were all analyses within holding times at time of receipt? es No <br />Attach labels to the containers and include a copy of the COC for lab i ry. <br />Sample Receipt, Login and Verification completed by (initials): <br />Discrepancy Documentation: <br />Any items above which are "No" or do not meet specifications (i.e. temps) must be resolved. <br />1. Person Contacted: Phone Number: <br />Initiated By: Date: <br />Problem: <br />Resolution: <br />2 <br />Person Contacted: <br />Initiated By: <br />Problem: <br />Resolution: <br />(Please use the back of this sheet for additional come <br />contacts) <br />(3017919) <br />San Joaquin County END <br />STK2233086 <br />Mdh 03103/2022 17:30:10 <br />MM11111i11[fal 111 <br />
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